Name

……………………………..…………………………….…

Intake

……………………………………

Centre

……………………………………………………

Personal Tutor

……………………………………

Useful Contacts

Telephone Number

e-mail

School Reception

Student Services

Personal Tutor

Placement

Speciality

Duration

Date

Section – skills relating to

Page

Essential Skills Assessments

4

List of Mandatory Skills and OSCE’s undertaken

21

Health and Safety

22

Handling and Mobility

23

Management of Violence and Aggression

24

Infection Prevention and Control

25

Communication Skills

27

Record Keeping and Documentation

29

Patient Assessment

30

Breathing

31

Circulation

33

Temperature

35

Hydration and Nutritional

36

Elimination

39

Neurological Status

41

Hygiene, Comfort and Dignity

43

Palliative Care and Care of the Dying

45

Pain

47

Sleep and Rest

48

Individuality (including Spiritual Care)

49

Administration of Medications

50

Peri-operative Care

52

Wound Care

54

Public Health and Health Promotion

56

Working in an Inter-disciplinary Team

59

Management and Leadership

60

Teaching

62

Additional Skills Acquired

63

CFP

Date Achieved

Measures Height, Weight, BMI

Monitors and

records Fluid Balance

Monitors and records Dietary Intake

BRANCH

Nutritional assessment

Hydration / Dehydration

assessment

Enteral feeding

Intravenous fluids

Medicines Administration

CFP

Date Achieved

Measures / documents

T,P,R, BP

OSCE

Aseptic technique

Classroom Simulation

Medicines calculations

Assessment

BRANCH

Patient Group

Directions

Classroom assessment

CRITERIA

1

2

1

Demonstrates a safe, professional, caring approach to the individual

2

Gains valid consent from the individual

3

Follows correct infection control procedures

4

Prepares equipment required

5

Accurately measures the height of the individual

6

Accurately weighs the individual

7

Accurately calculates the BMI

8

Records measurements and BMI

9

Identifies normal BMI parameters

Summative attempt no. 1

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

Summative attempt no. 2

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

CRITERIA

1

2

1

Demonstrates a safe, professional, caring approach to the individual

2

Gains valid consent from the individual

3

Follows correct infection control procedures

4

Enters fluid input and output accurately onto the appropriate record

5

Accurately measures and records as appropriate:

a.  Oral intake (if applicable)

b.  Intravenous intake (if applicable)

c.   Enteral intake (other than oral, if applicable)

6

Accurately measures and records fluid output:

d. Urinary

e. Other (if applicable)

7

Disposes of equipment safely

8

Accurately calculates the 12/24 hour intake and output

9

Recognises whether this is a positive or negative balance for the individual

10

Explains the need for recording fluid intake and output on the individual.

Summative attempt no. 1

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

Summative attempt no. 2

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

CRITERIA

1

2

1

Demonstrates a safe, professional, caring approach to the individual

2

Gains valid consent from the individual

3

Is able to accurately complete a food record to include:

a.  what is offered to the individual

b.  what is observed/reported to be consumed by the individual

4

Is able to explain why the individual needs to have dietary intake recorded

Summative attempt no. 1

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

Summative attempt no. 2

Result – Pass / Fail

Date

Name of Assessor –Comments –

Signature –

CRITERIA

1

2

1

Demonstrates a safe, professional, caring approach to the individual

2

Gains valid consent from the individual

3

Communicates effectively to gain an accurate patient/client history

4

Accurately completes a nutritional risk assessment

5

Recognises any actual or potential problem with the individual’s dietary

intake.

6

Communicates the level of risk to other appropriate professionals

7

Identifies when reassessment needs to take place

8

Documents the assessment appropriately

9

Can explain the local support and

reporting systems to deal with nutritional problems

Summative attempt no. 2

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

Criteria

1

2

1

Demonstrates a safe, professional, caring approach to the individual

2

Gains valid consent from individual

3

Follows correct infection control procedures

4

Identifies signs and symptoms

shown by the individual which indicate that they are dehydrated

5

Explains the possible reasons why the individual has become dehydrated

6

Take the appropriate actions to correct the dehydration and

prevent any further dehydration according to local policy

7

Documents the assessment

findings and adjusts the plan of care appropriately

 Summative attempt no. 1

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

 Summative attempt no. 2

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

CRITERIA

1

2

1

Demonstrates a safe, professional, caring approach to the individual

2

Gains valid consent from the individual

3

Follows correct infection control procedures

4

Selects the correct feed

5

Checks the expiry date and the condition of feed

6

Prepares equipment

7

Place the individual in an appropriate position for feeding

8

Ascertains the enteral feeding tube is correctly sited and is patent by agreed procedure.

9

Attaches feeding tube to the administration equipment

10

Delivers the feed at the correct rate according to the feeding regime

11

Monitors the individual appropriately during feeding

12

On completion of the feed flushes the enteral tube in accordance with the local policy

13

Caps the end of the enteral tube and positions the tube for safety and comfort

14

Disposes/maintains equipment safely

15

Documents the procedure accurately

16

Monitors the individual appropriately after feeding

Summative attempt no. 1

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

Summative attempt no. 2

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

Criteria

1

2

1

Demonstrates a safe, professional, caring approach to the individual

2

Gains consent from patient and prepares them appropriately

3

Follows correct infection control procedures

4

Checks that correct infusion is in place

5

Checks that infusion is running to time

6

Monitors infusion site for signs of abnormality and pain

7

Checks date for IV giving set to be changed

8

Evaluate and discuss the individuals hydration status

10

Monitors and discuss possible contraindications e.g. fluid overload

13

Explains how patient should subsequently be monitored

15

Completes documentation accurately

CRITERIA

1

2

1

Demonstrates a safe, professional, caring approach to the individual

2

Gains valid consent from the individual

3

Follows correct infection control procedures whilst preparing and administering medicines

4

Prepares equipment required (as appropriate)

5

Checks and confirms:

a

The identity according to local policy and procedures

b

Allergies or adverse effects

c

Weight if required

6

Checks the Patient Specific Direction (Prescription)

a

Date

b

Time

c

Start and Review date as appropriate

d

Name and form of the medicine to be given

e

Last time dose given

f

Dose prescribed

g

Route of administration

h

Signed by the prescriber/transcriber *

i

Any additional advice e.g. after food

j

Any once only or as required medicines needed

7

Reports any errors or concerns about the prescription

8

Demonstrate knowledge of the therapeutic use, dose, routes, side effects, precautions and contraindications of the medicine with reference to the BNF, BNFC or

pharmacist as appropriate

9

Selects the correct medication, checks the label and

dose carefully against the prescription (including any dilutent)

10

Checks the expiry date

11

Calculates the correct dose

12

Measures/dispenses the correct dose

13

Performs final check of the individuals identity

14

Administers medication and observes it is taken

15

Completes documentation accurately

16

Demonstrate knowledge of monitoring, reporting and recording

side effects, allergic reactions, effectiveness of medicine

17

Provides individual with appropriate information, advice and promotes concordance

18

Explains correct disposal of unwanted medicines

19

Disposes of equipment used safely (if appropriate)

Summative attempt no. 2

Result – Pass / Fail

Date

Name of Assessor –

Signature –

Comments –

OSCE

Semester

Date Passed

Hand washing

Semester 1 / 2

Temperature Pulse Respiration

Blood Pressure

Semester 2

Systematic assessment of an

acutely ill adult

Semester 5

Session

Date Attended

Basic Life Support 1 (Adult)

Basic Life Support 2 (Child / Baby) Introduction to COSHH Introduction to Risk Management

Responding to Violence & Aggression 1 Fire Safety 1

Infection Control: An Introduction Infection Control: Application of principles

Hospital acquired infection and an introduction to food hygiene

Numeracy 1

Moving & Handling 1 Moving & Handling 2 Moving & Handling 3 Moving & Handling 4 Moving & Handling 5 Moving & Handling 6

Administration of medication (Theory) Administration of medication Practice (Oral) Administration of medication by injection Numeracy 2

Basic life support in the institutional setting Principles of Asepsis

Mother and Baby Booklet Child Protection Package

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

* Fire procedure awareness

Basic Life Support

First Aid skills, including

a)   ABCDE assessment

b)   The unconscious / unresponsive patient

c)   Airway obstruction

d)   Acute bleeding

Resuscitation in an institution

Aware of COSHH regulations

Aware of RIDDOR regulations

Reporting of untoward incidents

Observe/contribute to a Health

and Safety risk assessment of a clinical area / department

Safe transport of specimens

Able to access health and safety

policies, procedures and protocols

*Safe use and disposal of sharps

Safe use of and disposal of medical devices

Teach and advise patients on safe use of medical devices

Use of radiation protection

Notes: Health and Safety

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Moving and Handling risk assessment

*Developing moving and handling care plans.

a)   Assessment

b)   Planning

c)    Implementation

d)   Evaluation

*Beds – operating, instructing a)

b)

*Sliding Systems a)

b)

*Hoists a)

b)

c)

*Standing Aids a)

b)

*Walking a patient and walking aids

a)   Walking with handhold

b)   Zimmer frame

c)  Walking stick

*Wheelchairs

a)   Manual

b)   Electric

*Bathing aids a)

b)

Falls risk assessment / plan

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

* Recognising triggers and cues of challenging behaviour

* Appropriate use of body language in conflict situations

*Common strategies aimed at defusing aggression

Verbal preventative strategies

Assertiveness

Stimulus change

Mood matching

Distraction

Low arousal techniques

Verbal response techniques

* Maintenance of safe distance

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

* Effective hand hygiene

a)   Social hand washing

b)   Hygienic hand washing

c)   Use of Alcohol gels

d)   ‘Scrubbing’ for surgical procedures

* Waste and Linen Disposal

a)   Household waste

b)   Clinical Waste

c)    Body fluids

*Appropriate use of gloves and protective clothing

*Ensuring a clean and tidy

environment for patients and visitors

*Decontamination / cleaning of multi use equipment egg beds

Prevention and management of sharps injuries

*Applying principles of infection control

*Applying principles of asepsis

Care of a patient in isolation

a)   Protective

b)   Source

Care of a patient with an infection on an open ward

Safe management of hazardous specimens

Able to access expert infection control advice

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Microbial sampling a)Recognises when microbial samples required

b) Identifies equipment to take samples

c)   Obtains samples in accordance with local policy

Contributes to an infection control risk assessment.

Using an infection control risk

assessment is able to plan appropriate care

Can teach / advise patients / visitors / staff about infection

control risk, prevention and management of infection

Takes appropriate action if exposure to infection occurs

egg TB, HIV

Notes: Infection Prevention and Control

* Sepsis protocol identifies the need for microbial sampling prior to commencement of antibiotics, within 6 hours of onset of sepsis (ref).

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Presents oneself in a professional manner

*‘Customer Services’ reception and telephone skills

*Initiates appropriate communication

* Terminates a conversation in an appropriate manner

*Interprets non-verbal cues

* Utilises non-verbal skills effectively egg touch

*Demonstrates accurate reporting of information

a)   Patient handover

b)   Reporting to team members

c)    Conveys clinical urgency when required

*When a patient deteriorates recognises the need to inform

a) Primary responder, or patients doctor to initiate a review/ escalation of treatment b)Patients’ family / significant

others

*Utilises appropriate skills when communicating with

a)   Visually impaired

b)   Hearing impaired

c) speech impairment

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

Shows sensitivity to cross

cultural aspects of communication

Can access interpreting services

Can access support when dealing with complex situations egg Macmillan

Nurse

Notes: Communication skills and Record Keeping

* Primary responder is the term used by NICE (2007) to reflect the role of the critical care outreach team or equivalent. Not all trusts or wards have this service.

NMC ref http://www.nmc-uk.org      Record keeping [PDF] – Updated July 2007

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

In accordance with local and NMC guidelines

Records are: factual, accurate and clearly written

Written consecutively and as soon as possible after an

event has occurred, providing current information on the condition of the patient and the

care given / action taken

Records are dated, timed and signed, (signature printed alongside the first entry) and

counter signed by mentor

Any alterations or additions are dated, timed and signed in such a way that the original entry

can still be read clearly

Records are professional and do not include abbreviations,

jargon, meaningless phrases etc

Records are written, wherever possible, with the involvement of the patient or their carer in

terms that the patient can understand

All charts / documentation

completed accurately. Labelled with min 2 patient identifiers.

Patient confidentiality to be maintained regarding records

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

* Demonstrates a structured approach to assessment

a)   Emergency

b)   Planned

*Able to undertake an initial patient admission

*Utilises a person centred, holistic approach

* Able to orientate a patient to a new environment

*Recognises the importance of observations made on patients

Is able to use and interpret specific assessment tools;

a)Early warning score/ track and trigger scores

b)ABCDE algorithm

c)

d)

Recognises abnormal measurements / clinical deterioration and adjusts

a)   Frequency of observations

b)   Level of monitoring

Initiates appropriate actions / management plan as per local policy

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Able to assess airway

* Able to observe, record and

interpret respiratory rate, depth and rhythm

*Measures and interprets

oxygen saturation levels using pulse oximetry

*Recognises abnormal respiratory measurements and breathlessness

*Accurately assigns early warning trigger scores

*Responds to measurements in accordance with local protocols including oxygen therapy and

airway support (under supervision)

Record and interpret Peak Expiratory Flow Rate

*Holistically evaluates the

patients’ breathing and oxygenation

*Can assess cough and sputum

Can obtain a sputum sample

*Sets up oxygen equipment as prescribed using:

a)   Nasal cannula

b)   Venturi mask

c)   Humidification

d)   Non/partial rebreathing

*Administers prescribed oxygen, provides appropriate care and records O₂ flow / %

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*If using portable oxygen, ensure there is adequate oxygen in the cylinder for the

duration of the journey

Uses a nebuliser as prescribed

a)   Air compressor

b)   Oxygen driven

Demonstrates how to use an

inhaler and can assess the patient’s technique

Tracheostomy care a)

b)

Assess need for and insert oropharyngeal airway

*Suction

Sets up and checks suction equipment

a)wall b)portable

Undertakes suction using the correct procedure and equipment

b)   Oropharyngeal –catheter

c)   Oral with yankeur suction

d)   Tracheal

e)   Tracheostomy

Maintain an open airway using the triple airway manoeuvre

Undertake care of a patient

having a chest drain inserted or with a chest drain in situ

Notes: Breathing* you may have the opportunity to learn how to listen / ausculate the chest if you work with a physiotherapist, specialist nurse or doctor

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

* Measure and record, rate, rhythm and volume of the pulse

*Recognises abnormal pulse measurement and responds

appropriately

*Measure and record blood pressure

a)   Manual

b)   Electronic

*Recognises abnormal BP measurement and responds

appropriately

Assigns EWS for BP and pulse

Locates and records peripheral pulses

Assess limb perfusion

a)   Temperature

b)   Pallor

c)    Vascular doppler

Perform and interpret capillary refill test

Adjusts frequency of observations as local protocol

Undertakes Care of a patient with a Central Venous catheter

a)   recognises risks / complications

b)   monitors patient and provides care required

c) measures, records and interprets CVP measurement

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

* Able to measure, record and interpret a patients temperature

a)   Orally

b)   Tympanic

c)   Other

OSCE

Recognises an abnormal temperature

Care for a hypothermic patient

Utilises appropriate methods of cooling a hyperthermic patient

Care for a hyperthermic patient

Administers and monitors the effectiveness of prescribed

antipyretics

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Perform a comprehensive assessment of hydration status, identifies needs and plan care

*Perform a comprehensive assessment of nutritional status identifies needs and plan care

*Makes referral to a dietician when required

*Measure a patient’s height and weight and calculate the BMI

*Accurately records

a)   urine output

b)   food intake

*Records and collates fluid balance over 24hours and

recognises fluid imbalance

*Apply Principles of food hygiene

*Assist with / feed a client safely and with dignity

Monitor a patients ability to swallow effectively

Inserts a Ryles nasogastric tube (only in a conscious patent) for

a)   Enteral feeding

b)   Monitoring / drainage of gastric       contents

Perform Enteral feeding

Care of and feeding a patient

with a Percutanious Endoscopic Gastrostomy tube

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Care of a patient with an intravenous infusion;

a)   Monitors cannula site

b)   Identifies any extravastation

c)    Identifies infection

/inflammation

d)   Selects and Primes IV sets

e)   Manages an IV infusion (inc changing the administration set)

f)     Assists with cannulation

g)   Manages an IV fluid regime (inc checking, recording and calculations

h)   Removes an IV cannula

Specific medical devices training (pumps and controllers)

a)

b)

Contributes as policy to safety checks prior to administering a

blood transfusion

Monitors a patient during a blood transfusion for reactions

Performs and records capillary blood glucose measurement

Supervise patients self monitoring blood glucose levels

*Recognise and report

a)   hypoglycaemia

b)   hyperglycaemia

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Assessment of continence

a)   Urinary

b)   Faecal

*Collect and measure urine output

*Perform, interpret and record routine urinalysis

Collect and manage a MSSU

Collect stool sample

*Maintains dignity when

meeting a patients’ toileting needs

Plan, implement and evaluate a management plan for elimination needs

a)   Urinary problems

b)   Faecal problems

Apply (after full assessment)

a)   continence pads / underwear

b)   Sheaths

Care of a patient with a urinary catheter

a)   Routine care

b)   Bag emptying

c)    Specimen collection

Safely performs a rectal examination considering patient

dignity

Demonstrates effective and safe use of a bladder scanner

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

Undertakes / assists with urinary catheterisation

a)   female

b) Male (See below)

Recognises urinary tract infection

Assess constipation

Assess diarrhoea

Care of a patient with a colostomy

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Is able to assess a patient using the AVPU system Alert,

responds to Voice, responds to Pain Unresponsive and recognise

abnormal responses

*Undertake, record and interpret Glasgow Coma Score

Assess and interpret pupil size and response to light

Assess and interpret sensory and motor response

Recognises abnormal neurological observations

Responds as local protocol to EWS trigger

Recognises confused state as a

marker of acute illness / deterioration

*Care for an unconscious patient in relation to;

a)   Positioning

b)   Simple Airway control

Care of patient who has a seizure.

a)   During a seizure (airway)

b)   Following a seizure Recording the length, frequency

and nature of the seizures

Assists with lumbar puncture

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Assess a patients ability to undertake self care

*Develop individualised plans of care to meet hygiene needs promoting independence

Assess a patients

a)   skin

b)   nails

c)   hair

Implement care for specific skin conditions

a) dry skin b)

* Oral Hygiene

a)   Assess lips / mouth

b)   Undertake oral care

c)    Assist with oral care

* Provides hygiene care for a dependant patient’s

a)   skin

b)   nails

c)   hair

* Able to prepare a comfortable bed

* Following an episode of care, ensures that a patient is comfortable, dignified, can

reach belongings and has nurse call button if required

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

Undertake an assessment of the patients and carers needs

a)   Physical

b)   Psychological

c)    Social

d)   Spiritual

Plan, implement and evaluate care to:

a)  Manage distressing symptoms e.g. dry mouth, pain, agitation

b)  Promote optimal comfort

c)   Provide psychological, social and spiritual support

d)  Refer to appropriate palliative care services

Utilise the end of life care pathway

Implement appropriate care of the patient after an expected

death (last offices)

Provide support and information for the bereaved

Communicate sensitively and compassionately when talking with the patient / family and when giving distressing

information

Assist with a complex discharge from hospital for a

palliative/dying patient

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

UNEXPECTED/SUDDEN  DEATH

a)   Instigate appropriate First Aid/Resuscitation/Emergency care

b)   Assist with contacting family and other professionals

c)    Provide support when bad news is given

d)   Make appropriate referrals to support services / chaplaincy bereavement centre

e)   Work co-operatively with the police/coroners office

g) Provide detailed documentation of events

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

Perform and document pain assessment using different tools

* a)

b)

c)

*Identify appropriate pharmacological interventions and their side effects

a)

b)

c)

*Undertake non-pharmacological interventions a)

b)

c)

d)

*Evaluate the effectiveness of pain control measures

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Assess a patient’s sleep and rest pattern and needs

*Plan a patient’s day taking into account of the need for sleep

and rest.

*Identify measures that promote sleep

*Implement care that promotes sleep

a)

b)

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Considers a patient spirituality and beliefs when planning care

*Shows sensitivity to patients

a)   spiritual needs

b)   cultural needs

Participates in collaboration with others (eg chaplain, interpreting service) to meet patients

a)   spiritual needs

b)   cultural needs

*Evaluates care related to

a)   spiritual needs

b)   cultural needs

Care delivery is based on an understanding of individual need rather than assumptions derived from patient

characteristics (eg age and gender)

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

UNDER DIRECT SUPERVISION and IN ACCORDANCE WITH NMC and LOCAL GUIDELINES

* interprets / check’s a patient specific directive (prescription)

*Checks name, form, time, date

and route of medicine to be given

* Accurately calculates dose

a)   Tablets

b)   Solutions

c)    IV rate

* Checks patients identity

*Administers prescribed medication safely;

a)   Oral

b)   NG / gastrostomy

c)    Rectal

d)   Vaginal (pessaries)

e)   Sub-cutanous

f)     Intra-muscular

g)   Inhaler

h)   Topical

i)     Ophthalmic

j)     Aural

k)   Nasal

*Checks and administers controlled drugs as policy

Demonstrates an understanding of the process of ordering, receiving, storing and disposal;

a)   IV fluids

b)   Stock Drugs

c)    Individual patient drugs

d)   Medications to take home

e)   Controlled drugs

Notes: Medications

NMC ref http://www.nmc-uk.org Standards for medicines management – summary booklet / full content [PDF]

Published: February 2008

We suggest you keep a record of medications you have learnt about

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

Prepare a patient for a anaesthetic

a)   General i fasting

ii   hygiene

iii   specific preparation

b)   Regional i fasting ii hygiene

iii specific preparation

c) Local

i fasting ii hygiene

iii specific preparation

Take / Receive a patient into the theatre area

Be able to put on surgical gloves and surgical gown

Care for a post-anaesthetised patient

a)   Observations

b)   Laryngeal mask airway

c)    LMA removal

Hand over a post-operative patient to ward staff

Receive a post operative patient and safely escort back to a ward

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Assess for pressure ulcer risk using the following assessment tools;

a)

b)

c)

*Undertake a skin assessment

*Plans preventative care using

a)   pressure relieving beds

b)   seat cushions

c)    positioning

d)   education

Assess a pressure ulcer using a grading score

a)

b)

Plan, implement and evaluate

care to promote pressure sore healing

*Assess and record progress of wound healing

a)   tracing

b)   photography

*Assess a

a)   chronic wound

b)   acute wound

*Cleanse a

a)   chronic wound

b)   acute wound

*Choose and apply appropriate wound dressings

Obtain a wound swab

Manage wound drainage systems

a)

b)

c)

Close an acute wound with closure tapes

Assist with the suturing of a wound

Effectively apply a simple supporting bandage

a)

b)

Provide health education to a patient with a wound

Evaluate the healing of a wound

a)   Acute

b)   Chronic

Removal of sutures

Removal of clips

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

Assess the client’s/carer’s current health need

Identify the factors that are, or could, impact on the clients/carer’s health within the

care environment

Identify the factors that are, or could, influence the

clients/carer’s health within their own ‘home’ environment

Report and record relevant

factors influencing the clients/carer’s health

Communicate with the client/carer appropriately whilst assessing and meeting the clients health need

a)   verbal and non verbal face to face

b)   by telephone

c)    written

d)   other …

Provide appropriate information to clients/carers

a)   verbally

b)   utilising written information

Provide appropriate health education to meet client/carer needs

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

Choose and utilise an appropriate approach to meeting the clients needs 1.medical

2.behavioural 3.educational 4.client centred

5.   harm reduction

6.   risk reduction

7.   signposting to other services

8.   referral to other services

9.   liaise with other services to formulate and deliver appropriate care packages

10.   other

Provide appropriate supportive care to meet the clients physical, psychological and

social needs

Evaluate the effectiveness of the intervention to meet the

clients/carers needs

Assess factors risks which will/could influence your own

health in the care environment

Assess factors/risks which will/could determine the health

status of staff in the care environment

Demonstrate the ability to maintain a safe working/ care environment

a) identify, report and record factors according to policy b)act appropriately to reduce

risk

Notes: Public Health and Health Promotion

Reference: Public Health and Health Promotion: linking Theory to Nursing Practice 2005 Curriculum Advisory document (internal).

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Able to identify the roles of IDT members

a)

b)

c)

*Initiates and makes direct referrals to;

a)   Medical staff

b)   Specialist nurses / teams i)

ii) iii)

c)    Physiotherapist

d)   Occupational Therapist

e)   Speech and Language Therapist

f)     Clinical Nutritionist g)

*Actively participates in a clinical hand over

Actively participates in clinical case conferences

Actively participates in a ward round

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

*Manages the overall care of an

a)   Individual patient

b)   2-3 patients

c)   A group of patients for a period of time

Aware of the process of ordering, receiving and storing,

a)   Routine Supplies

b)   Emergency Supplies

Able to delegate appropriately

Able to instigate the complaints policy

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

Acts as role model/buddy to junior students

Leads a team to care for a group of patients

Able to provide constructive feedback to peers and junior students

Organisational awareness and management of policy initiatives a)

b)

c)

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4

Assessing learning needs

Developing a teaching plan

Teaching a

a)   Skill

b)   Knowledge

Assessing learning achieved

Evaluating effectiveness of teaching approach

Skill

Introduced in School

Observed

Direct supervision/ supervised practice

Year

1

2

1

2

3

4